Lee, Richard

Lee, Richard is an individual health care provider with primary practice located at 1023 15Th Ave Nw , Ardmore OK 73401-1810. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Lee, Richard can be contacted via phone (580) 223-7844.

Contact Information

Primary practice address
1023 15Th Ave Nw Ardmore OK 73401-1810
Phone: (580) 223-7844
Fax: (580) 223-6285
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 201458 Louisiana
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 26215 Oklahoma
Allopathic & Osteopathic Physicians / General Practice 208D00000X 26215 Oklahoma

Profile Details

NPI number 1386618122
LBN Legal business name Lee, Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated Jan 15th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386618122 NPPES
Louisiana MEDICAID 1014761
Louisiana Other 26215
Louisiana MEDICAID 200193740B

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